Fresh Cow Milk Home Delivery Subscription Form

Full Name

Mobile Number

Delivery Frequency

Daily Alternate Day Weekly

Select Area

Full Delivery Address

Delivery Start Date

Order Quantity

Rate: 120 Tk / Ltr.Delivery: 0 Tk

Monthly Total:0 Tk

Payment Method

Cash/COD Mobile Pay Bank Payment

Cash on Delivery (COD):
* No advance payment required — Fresh farm cow milk delivered to your doorstep with easy cash on delivery.

BKash & NAGAD: 01715334450 (Personal)
*Please send money to this number and mention your name in references.

Bank Name: City Bank PLC | A/C Name: FamilyFarm | A/C Number: 2302814233001 | Branch: Banani, Dhaka
*Please deposit the cash or bank transfer to this account and mention your name in references.

Special Instructions (Optional)